Hannah Aylward (00:00.214)
You can think of bile as dish soap for your digestive tract. So if you’ve ever tried to wash a greasy pan, something like maybe you cooked a cooked bacon in a pan or something, and you’re trying to wash the pan out with just water, you’re not getting anywhere, right? You almost have to like soak the pan in soap and water and think of bile as that soap, right? So it helps to break down fat into smaller droplets so your digestive enzymes can actually do their jobs.

Hello, hello, my dears, and welcome back to another episode of the Nutrient Dense podcast. I’m excited to be here with you today. Hope you’re having a good week so far. It’s feeling kind of like that summer craze where we’re juggling and managing like work and social events and more outings and more eating out and all of the things. And we can so easily kind of get off of our routines, which I think is really healthy and good at some points.

And at the same time, when kind of overdone or done too frequently, can leave us feeling a little, a little lower, a little off, a little puffy, a little less aligned, less bright. That’s why I’ve been feeling over here just after weeks of travel. I’ve got more travel coming up this week. So I’ve been really focusing on just the ABCs of self-care, like sleep, movement, hydration, good nutrition, not overcomplicating it and really trusting my.

foundational habits to just like anchor me back into myself and bring me back down to earth, not needing to jump into any harsh restriction or quote unquote detoxes or cleanses or whatever. And really just like head head on back to the ABCs of self-care. That’s what me and my some of my friends call it. Like, are you doing the basics? Are you doing the foundations? And if not, when in doubt, come back to those things and they usually move the needle. So that’s my personal little

Personal little update over here, but today on the podcast, we’re going to be diving into one of my favorite topics that I feel like comes up in conversation with clients all the time, something that we see clinically all of the time in practice. And that is bile and bioflow. So one of it’s really one of the most overlooked contributors to chronic gut issues, in my opinion, that I see all the time is this concept of poor bile flow.

Hannah Aylward (02:20.514)
So today we’re gonna be diving into what bile actually does, what it is, why bile flow can become sluggish, and how this can drive chronic bloating, irregular bowel movements, recurring SIBO, things like that, and even some histamine issues, and also this estrogen dominance, hormonal imbalance picture as well. So let’s dive on in. What is bile to begin with? So bile is a digestive fluid made by the liver and it’s stored and concentrated in the gallbladder.

And it’s released into the small intestine when we eat food, especially when we eat fat. So it’s made up of bile acids, cholesterol, phospholipids, bilirubin, and electrolytes. And when the balance of these things is disrupted, bile can become thick or overly saturated, leading to sludge, gallstones, thicker bile, and we’ll get that kind of poor bile flow or subpar function issue that many people

Are dealing with, even if it’s not as severe as something like gallstones or sludge that’s coming back on an ultrasound, an abdominal ultrasound or gallbladder ultrasound, we can still really have this poor function piece. So bioflow is something that we work with a lot of our clients on just to optimize digestive function overall. So it’s really most well known for its job in helping us to break down and digest fats and absorb those fat-soluble nutrients. So that’s going to include things like vitamins A, D, E, and K.

You always want to take those vitamins when supplementing with fat. So if you’re supplementing with vitamin D, make sure it’s paired with K2. And then also you want to take it with fat when you’re eating fat because it is that fat-soluble nutrients. You need those fats to actually absorb the nutrients efficiently. So bile helps us to break down these fats and absorb these fat-soluble nutrients. You can think of bile as dish soap for your digestive tract. So if you’ve ever tried to wash a greasy pan, something like maybe you cooked a

Cooked bacon in a pan or something, and you’re trying to wash the pan out with just water, you know it you’re not getting anywhere, right? You almost have to like soak the pan in soap and water. And think of bile as that soap, right? So it helps to break down fat into smaller droplets. So your digestive enzymes can actually do their jobs. You can break down the food, you can digest food, you can assimilate the nutrients from the food that you’re eating. And bile really assists in that process. Without it, we’re going to get this fat maldigestion piece. And

Hannah Aylward (04:42.178)
When bile flow is sluggish, it’s it is a fat mal digestion issue, but it also will very quickly become an overall gut issue, hormone issue, skin problem, and potentially even a histamine issue as well. So let’s kind of dive in and expand on all of these different little points. So bile flow matters beyond fat digestion. However, one of the kind of quick ways that you can understand, or for for mo most people that are struggling.

You can kind of know, right? Because when you eat foods that are richer in fats, you’ll feel more sick. You may feel nauseous. You may f run to the bathroom, have loose stools, you may have floating stools, clay-colored stools. you may just feel more bloated after eating these foods that are more rich in fats. So this is where this conversation around food intolerances and sensitivities, you know, I like to dig deeper into this conversation and ask why. If you feel sensitive to certain foods,

We have we want to understand why you do feel sensitive to those foods. So in the case of those foods that are richer in fats, even when it comes to things like healthy fats, avocados, olive oil, coconut oil, egg yolks, things like that, if you feel particularly sensitive to those foods, it can be a sign of fat maldigestion and a sign that we need to support your bile flow. So bile supports fat digestion overall. And when this is sluggish,

Our fat digestion, our ability to break down and digest fats in in the foods that we eat will suffer. So once again, this will show up as like nausea after eating fatty foods. So this can be your typical like fried foods, you know, burgers, cheeseburgers, French fries, that kind of thing. But once again, it can also be those healthy fats as well, like coconut milk, because that’s really rich in fats. It’s not unhealthy for you, but that would be a good example, large amounts of avocado, that kind of thing.

You can also get burping and get bloating, heaviness after eating these foods, greasy, sticky or pale-colored stools, like I mentioned, floating stools, and then just trouble tolerating these higher fat foods. Salmon, we could lump salmon into this conversation, nut butters, even the even these like healthy oils, avocado oil, olive oil, eggs, that kind of thing. So overall, like thing number one that I wanted to point out is that bile supports fat digestion, which is important because we’re going to end up with

Hannah Aylward (06:58.646)
Digestive issues if we’re not properly break breaking down and digesting the fats that we’re eating. On top of that, bile helps to stimulate movement in the intestines and bowel movement. So when we don’t have adequate bile reaching the intestines, some people may become more constipated or sluggish in this condition. but we can also see the bile issues show up as diarrhea or urgency in the case of fat maldigestion. So

We had a client, she was in a round of HGSB a couple rounds ago with us, and she had this like chronic diarrhea pattern. So I dug into it with her. She was like, I’m eating all these healthy foods, I’m making the adjustments in the nutrition guidelines that were recommended to me. What’s going on? I’m like running to the bathroom with diarrhea. She had a lot going on in her case. She had mycotoxin exposure. She had a parasite. There was a lot going on, right?

And in addition to that, one of the things once I clued in with her on her diet, I was like, okay, what have you changed the most in your diet? And she was like, Well, I’ve increased eating healthy fats, right? And and she didn’t quite say that out outright. I kind of helped her understand that. But she was like, I’m eating avocado, I’m adding nut butter to my smoothies. I’m eating walnuts. I’m and increasing these healthy foods because they’re good for my gut and they’re good for my hormones and they’re good for my health overall.

But I’m finding myself running to the bathroom after eating. And when I hear that, I’m thinking, okay, it could be a histamine response or it could be a fat maldigestion issue. Then when we clue in on the fact that she’s increased her healthy fats, I’m like, okay, well, you’re struggling with a liver gallbladder thing going on, and we need to support your bio flow. We sent her for some additional testing. We sent her for an ad abdominal ultrasound. She was a little bit resistant to that. But when she finally got that done, she had sludge, right? So she had sludge.

That would then turn into stones and we were able to support her in that way, which is why she was having that reaction. So she was someone that was struggling with diarrhea and loose stools for years and years and gut issues and bloating and all of that, and just not feeling very well overall. And when we could kind of dig into how things were presenting with her alongside her labs, I could pretty quickly go, okay, this is fat mal digestion. We let’s get you checked for anything more severe since you’re having a big response to this. Go for a gallbladder ultrasound or abdominal ultrasound.

Hannah Aylward (09:12.674)
Let’s see what’s going on there. And then of course she had sludge. So we were able to help her out there. And when we’re looking at that case, what we’re focusing on is supporting bile flow overall. So we can see this subpar bile flow show up as chronic constipation. We’ll see that a lot in mold clients, clients that have heavy exposure to mycotoxins, because it causes that bile to be sludgy and then leads to constipation. And very commonly we’ll see these clients not respond to like your typical constipation intervention. So

Vitamin C, magnesium citrate, magnesium oxide, right? These things that are supporting getting water into the intestines, which can help move the bowels and help support constipation. It’s kind of working at the intestinal level and not up the chain at that bile level. So we’ll see those with the chronic constipation that doesn’t really respond to those typical interventions have a bile issue more often than not. Of course, that’s not the only cause of chronic constipation.

But it’s very common once again for those for those moldy clients because of the mycotoxins, those toxins that are given off by mold, how they impact bile flow. So we can see it go both ways, right? We can see it present in chronic constipation. We can also show see it show up as urgency or diarrhea in the case of that fat maldigestion. So bile issues can look different in different people as well. Some people are constipated, some people have loose stools, some people alternate between the two of them.

And some people also feel like they never fully empty. So you go to the bathroom, you finally have your bowel movement, and you’re like, I’m not fully empty. I’m not fully satisfied after that. If you know, you know, right? It’s not a comfortable feeling. It’s not a good feeling overall. And this can clue us in that there could be a bile issue because of the fact that bile does help to support these healthy bowel movements. Bile also supports microbial balance in the GI tract. So this is why.

This is one of the reasons why I kind of call Bile this like unsung hero of digestive function and gut health overall. I feel like it doesn’t get the PR that it should, because it is, it is so important for our overall health hormones, skin, digestion, histamine, all of it. But it it is your body’s like one of your body’s natural cleaning mechanisms that it already has, right? So the migrating motor complex plays a role in this. I have a whole episode on that.

Hannah Aylward (11:34.156)
Your stomach acid plays a role in this. I have a whole episode on that. And then bile plays a huge role in maintaining that microbial balance in the gut, specifically in the small intestine. So bile acids help to shape the gut microbiome and they have these antimicrobial effects in the GI tract. It’s like a natural antimicrobial, right? Once again, going back to the that like soapy substance analogy here, you can you can think of it as that. It helps to break down the fat. And then it also helps to

Keep the small intestine relatively sterile, not entirely sterile. We have some bacteria and microorganisms in the small intestine. But when we get an overgrowth of these bacteria, we start to get very symptomatic, for lack of better phrasing. So we’ll have a lot of bloating, a lot of gas, a lot of abdominal distension, bowel movements will take a hit, and it’ll just kind of get worse and worse from there. So this really matters because sluggish bioflow can create an environment where bacteria can overgrow.

In the gut, specifically that small intestine, and shift in that unfavorable direction. So it can it can create that SIBO-y picture. So bile flow is extremely important when it comes to people with recurring bloating, recurring dysbiosis. If you’ve had functional labs done, if you’ve had functional soul testing and this dysbiosis like doesn’t go away, or that SIBO picture. Maybe you’ve taken the antibiotics for SIBO, you’ve taken the medication, maybe you’ve done a round of herbal antimicrobials.

And it still really hasn’t moved the needle. You’ll you’re still testing positive, or none of your digestive issues are really fully going away. This can clue us back into potentially there being a bile issue because of its impact on maintaining that microbial environment. So if we’re talking about just like optimizing the terrain in your gut environment, keeping these microorganisms well balanced naturally without needing tons of supplementation, tons of testing, tons of.

Protocols after protocol after protocol, we have to make sure the body’s functioning optimally. And one of these built-in mechanisms in your gut, in your digestive system, is this bile flow that helps to maintain this ecosystem overall. Bile also supports detoxification and elimination. So bile is one of the routes the body uses to package up and eliminate certain waste products through the stool. So when we’re talking about detox.

Hannah Aylward (13:58.2)
When we’re talking about, you know, cleanses and detoxification and all of that, we want to hit it from a few different angles. And I’m gonna make an episode on that soon because I think it’s very important too. So stay tuned for that one and just kind of how to support your body’s natural detox d on a daily basis. Coming soon, loading on the podcast. But when we want to talk about detoxification, it’s like how do we actually move these toxins out of the body through our urine, our sweat, and our stool? So bile is basically pushed into the small intestine.

liver produces it once again it’s stored in the gallbladder it’s concentrated in the gallbladder and it’s pushed into the small intestine and it acts as a vehicle for your liver to bind and excrete these fat soluble toxins, hormones, so things like estrogen and metabolic waste. Whenever we’re walking a client through a mold protocol as well, bile is a big key player in this because of the fact that it binds to these toxins. So it helps to essentially excrete these toxins out of the body.

Through your poop. You’re ex you’re moving these toxins out of the body through your daily bowel movements, which is, you know, why constipation can be such a huge issue and shouldn’t be taken super lightly, in my opinion. We absolutely want you detoxing on a daily basis. How are we doing that? We’re getting you sweating, we’re getting you peeing, and we’re getting you pooping. It’s very glamorous, I know. So if bioflow is sluggish, right, these substances can recirculate.

Burdening your liver and affecting your hormones as well. And eventually we’ll see that kind of show up on the skin. So we’ll oftentimes see it in that like quote unquote hormonal acne picture. That’s really not hormonal acne. It’s typically bile and gut issues at the core, like liver, gallbladder, bile and gut issues, even if you’re getting those breakouts more cyclically. And I have an entire podcast episode on that as well, like the hormonal acne piece. So you can have a listen to that one. We’ll pop that in the show notes below. So

Constipation and sluggish bile flow can become such a problematic combination because if bile is supposed to carry out this waste, we’re exposed to toxins day in and day out, right? It’s supposed to carry out this waste, but if you’re constipated and that stool’s not moving, that elimination pathway is not working efficiently. If your bile is sluggish and things it’s not being pushed out adequately, it’s not binding to those toxins to help support your body’s like natural detoxification process. So

Hannah Aylward (16:21.94)
It can lead to bigger issues, right? So some of those possible signs of sluggish bioflow can be bloating after meals, especially those higher fat meals, burping after eating. we’ll also see this commonly with burping after fish oil supplementation, because fish oil is fat, right? I mean it’s an oil. It’s it’s primarily fat. It has essential fatty acids in it. That’s why we take it. We love those. Really great for like inflammation, got barrier support, brain health.

So much good research on fish oil overall, but it’s straight fat. So if you’re someone and you that supplements with fish oil and you’re like, I can barely tolerate it, like I’m burping it up all day afterwards, we can see that that could be a bile issue at its core. Nausea after eating fatty foods, constipation or sluggish stools, alternating between constipation and diarrhea. Another big thing to look out for is floating stools, greasy stools, sticky, like those stools that stick to the bowl of the toilet, pale-colored stools.

Of course, feeling worse after eating those foods high in fats, even those healthy fats, eggs, avocado oils, salmon, nut butters, and then of course those less healthy fats like, you know, fried foods, French French fries, fried fried chicken, whatever it is, ultra-processed foods that are high in fat. We can also see sometimes right sided rib discomfort or tightness. So you’ll get a pain, a tightening, a pulsing, kind of like a contraction, gripping feeling under your right rib.

That could be a sign of a bigger issue. So if that is, if if you’re resonating with that one, please go speak to your doctor and get an ultrasound to make sure that everything looks okay there. We’ll see histamine flares after meals, itchy skin or skin flares, recurring SIBO, feeling like digestion’s heavy, slow, or stagnant. And then of course, like I mentioned, that hormonal acne and estrogen dominant picture as well. So

Poor bioflow can contribute to bloating through several different mechanisms. And I want to talk specifically about the bloating piece because, you know, that’s a what many, many people come to us to work through. We see almost every client that we see, I’d say like 98% of the people that we see are dealing with chronic bloating and they’re coming to us to solve that. So poor bioflow can be one of these underlying root causes that’s just sitting there.

Hannah Aylward (18:39.394)
Going unnoticed, and you’re like taking probiotics and you are increasing your fiber and you’re doing all of these great things. You’re taking out glutamine and you’re like not seeing any real results from these good efforts, bile flow can be one of these underlying root causes and issues that is impacting your digestive function and causing that bloating. So, mechanism number one is that poor fat digestion piece. So if fats are not well emulsified.

They can feel heavy in your stomach and your small intestine. And this can lead to bloating, nausea, burping, and soul changes. So it’s very often not the food itself. Once again, talking about those food intolerances and sensitivities, it’s not always the food’s fault. Don’t blame the food for food for what the food didn’t do. You’ll hear me say that a lot on this podcast. It’s like, what’s the mechanism under it, right? What’s the mechanism of action under the reaction that’s taking place? If you’re sensitive to these foods.

It may be because your body doesn’t have adequate bioflow needed to digest those foods at this time. So we’ll see that for that poor fat maldigestion piece. Second mechanism is its impact on motility. So as I mentioned before, bile acids are going to influence intestinal movement. So if bile signaling is off, then your gut motility can be impaired. You’ll see things slow down. It can lead to that constipation piece.

We’ll see slower gut motility, and that can then increase fermentation in the gut, gas, constipation, and bloating. So things are like sitting in your GI tract, there’s maldigested food sitting in in your GI tract longer than we wanted to, and it’s just eating up these bacteria, it’s fermenting and it’s giving off gas. You’re gonna feel that in your abdomen, abdominal pressure, bloating, that kind of thing. Then the third mechanism is that microbial imbalance piece. So

As I mentioned, bile helps to regulate that microbial environment of the gut. It is your body’s like natural built-in cleaning mechanism, your body’s natural way of keeping that gut environment kind of regulated. Your body’s got a couple of great ways to do that, right? But bile flow is one of them. When bile flow is sluggish, that small intestine is going to become an environment. It’s kind of setting that environment in the small intestine to be more hospitable to bacterial overgrowth.

Hannah Aylward (20:57.558)
And dysbiosis leading to things like SIBO or small intestinal bacterial overgrowth. This is where we’ll start to see typically people that have this are gonna have like lots of gas, lots of burping, sensitivity to fibers, lots of bloating is what I meant to say, but burping can also come alongside that. Lots of bloating after meals. You’re like, I eat within an hour, I’m like so bloated. By the end of the day, I have to unbutton my pants, right?

Food sensitivities and reactions, we can see histamine issues and that kind of recurring SIBO picture overall. And how this would, you know, that that fourth mechanism in in regards to it causing bloating would be the fact that it can lead to that recurring SIBO. So it’s impacting your microbial balance in the gut microbiome overall. And then it can cause that recurring SIBO pattern. So

If you are someone and you’re like, I have tried to get rid of my SIBO so many times. I’ve taken multiple rounds of antibiotics antibiotics, I’ve taken rifaximin, I’ve taken arables, I’ve taken candy backed in AR and BR. Like this is the common stuff that we throw at it, right? Not us, not we as in my team, but other people as they’re trying to kind of move through this process. Because I’m on my team, we understand that it’s never just a bacterial issue. We have to ask what led to the overgrowth in the first place and poor bile flow.

is one of those underlying root causes. So if you’ve tried to get rid of your SIBO over and over again and but you’ve never actually addressed why your small intestine is actually vulnerable to this overgrowth, bioflow is one of those missing pieces that we need to start to think about, alongside, of course, stomach acid, gut motility, enzyme production, chronic stress, immune function, thyroid function. And I go into more details about all of that in my SIBO episode.

So if you if that resonates with you and you want to dig in more to the topic of SIBO, make sure you go listen to that episode and we’ll put pop that in the show notes below as well. So we can pretty clearly see how bile is going to impact our digestive function and then alter the gut microbiome. And as the gut microbiome is altered, as we enter into that more dysbiotic state.

Hannah Aylward (23:06.53)
We’ll see an increase in inflammation. We’ll see an increase in just, you know, kind of feeling like crap. And it’ll also start to wear away at that gut barrier. So we’ll kind of we’re kind of setting the environment for that quote unquote leaky gut picture and/or that increased intestinal permeability picture. So it’s never one thing, right? All of these things are connected. And once one thing starts to take a hit, it’s going to impact everything else, which is why it’s never just bile, it’s never just stomach acid.

It’s never just SIBO. It’s never just high cortisol. It’s like, what is the impact of this over time on the body? We have to ask, okay, well, what led to the issues with bile in the first place? What and then what has the sluggish bile done to our our digestive tract overall? Right. And we have to kind of work at taking a a thorough approach to addressing all of these.

How can I phrase them? Just like these kind of things that started to go wrong, right? Like the the result of the poor bile and the impact that it had on your GI tract. Cause it’s just never, it’s never going to be one thing. And last week’s episode, we dove into the topic of H. pylori specifically. We see a lot of H. pylorian clients. And same, same goes for that, right? I’m sure I said this in that episode too. It’s like it’s never just H. pylori because H. pylori is going to impact everything else. H. pylori can actually cause.

A bile issue because we need stomach acid to signal the flow for bile. So it’s like when we’re when we’re looking at really peeling back the layers and addressing these root causes, we have to dig in deeper, which is why, like one supplement’s never gonna fix the issue and it’s really never one thing. We have to look at things holistically, functionally, understand the mechanisms underneath how things how things start to shift in the gut microbiome and really repair from there. Then the next thing I wanted to touch on in this episode.

Is really the bile and histamine connection because I feel like histamine issues have just like shot through the roof lately. And, you know, I talk to my team about this a lot. We’re like, have we seen an increase in this? Absolutely. People are more sensitive. I have many, many theories as to why we’re seeing this explosion in histamine issues. I’m like, are we just more aware? Is there just more education? Like every time you open that app, it just feeds you what you want to see.

Hannah Aylward (25:25.676)
Yeah. So it’s like, you know, you can’t open one of these social media apps without seeing the stuff that you’re like already seeing. So you can very easily get tunnel vision. But also in our client population, there’s no question that we’ve seen an increase in in these issues. And it really kind of happened after that COVID picture back in 2020. Like I will say the clientele that we saw shifted 2020 to like 2022. We saw a big shift in what people were presenting with and how sensitive people were.

And I have many theories underneath that, but that’s not my point. My point is that I want to touch on this histamine piece because we are seeing so much of it. So histamine issues and histamine overload are never just a histamine issue overall, right? Which I’m sure you’re not surprised if you listen to my podcast, because I’m talking about this stuff all the time. So it’s never about just like eating too many high histamine foods or getting like too much exposure to histamines. Like, yes.

If it’s allergy season and you’re sensitive to pollen, can that increase your histamine burden and that can lead to some stuff? Sure. But if you’re waking up and you’re you’re struggling with histamine issues all the time, it’s never just these like high histamine foods. A low histamine diet is not a real solution. So histamine issues are often the result of a gut environment that is inflamed, it’s dysbiotic, maybe you’re constipated, so you’re not clearing things well. We want to look at bioflow in this picture.

We also want to look environmental toxin exposure. So things like mold, mold exposure will cause massive histamine issues for people. There’s a lot more to the story there. And histamine issues can really be connected to gut dysbiosis. We can have an overgrowth of histamine-producing bacteria, contributing to that increase in our histamine burden. So we just can’t clear it quickly enough because we have gut bugs that are activating those mast cells. And also we have gut bugs that are histamine producing, right?

So we’ll mast cell activating bacteria, all of that kind of stuff. So this gut dysbiosis piece can increase our histamine burden. SIBO can also lead to an increase in histamine due to that same reason. Intestinal permeability can play a big role here too. We can have pore elimination. So we’re just not clearing toxins, we’re not clearing estrogen efficiently. As estrogen goes up, histamine’s gonna go up. Nutrient deficiencies can play a role here, methylation issues, liver and bile flow issues. So

Hannah Aylward (27:46.624)
If you are interested in learning more about histamine, those kind of classic signs of histamine overload and what histamine issues are at their core, I have two other great podcast episodes that you can dive into next: episode 12 and episode 35 of the nutrient dense podcast. I dive into the guts relationship to histamine and also like what is histamine overload, what’s going on here, what are the underlying root causes, what should we start testing? All of that stuff. So gut, go check those out if you want to learn more here.

Bile is not the only root cause of histamine issues, absolutely not, right? So you can have fine bile flow and still have bile and still have histamine issues, but we want to take a look at bile when you if someone is presenting with histamine issues because it can be one of those upstream digestive pieces that’s making that histamine bucket really overflow. So the first thing is that poor bile flow can contribute to dysbiosis, which we’ve already discussed. So certain microbes.

In the gut microbiome can actually produce histamine or promote inflammatory signaling. They can activate those mast cells. And if bio flow is sluggish and that’s leading to a shift in the gut microbiome, we’ll see that histamine tolerance worsen. We’ll see an increase in those histamine-producing bacteria. And once again, we want to always ask why, where what’s leading to that dysbiotic state in the gut.

Well, we can take a look at bile there and see if that’s playing a role in this increase of histamine-producing bacteria. The second thing here is that dysbiosis can also irritate the gut lining. So when the gut lining is inflamed and it’s more permeable in the case of something like, you know, quote unquote leaky gut or increased intestinal permeability, the immune system can become more reactive in that state. That can contribute to more food reactions, histamine issues, and mast cell type symptoms. We’ll also see

When that gut is permeable, that’s a big issue because that DAO enzyme, which I’m gonna get into here next, that’s produced in the gut. It helps us clear histamine in the gut. It’s produced in the gut lining, in that gut barrier. So if there is an issue with the gut barrier, we’re going to have issues clearing histamine efficiently.

Hannah Aylward (30:02.296)
We are big fans of eating enough protein over here on Team Han. Protein is essential for muscle repair, a strong gut lining, balanced blood sugar levels, and so much more. For most of our clients, we like recommending around 100 grams of protein per day to start, and adding in a good quality protein powder can be super helpful for hitting those numbers. It’s an easy add-in, you can throw it into a smoothie or even add it to oatmeal. Choosing the right protein powder can feel so overwhelming.

Half of them are full of fillers and crap ingredients, and the other half honestly just taste bad. Equip protein is one of my go-to recommendations for our clients and one of my personal favorites. We love it because it only has a small handful of ingredients. It’s 100% carefully sourced, real foods, no additives, allergens, chemicals, fillers, or other junk. It’s gluten-free and it contains 21 grams of protein per serving. Equip’s Prime Protein also offers

a complete amino acid profile. It’s also independently tested to make sure that the protein powder is free of harmful amounts of heavy metals and toxins like glyphosate, which is honestly super hard to find. Equip prime protein is a grass-fed beef protein. So it is animal based, but it’s dairy free, unlike whey or casein protein powders. Grass-fed beef protein is packed with collagen, gelatin, and micronutrients that your body needs.

We also see that it’s typically much better tolerated in our clients with chronic gut and digestive issues over something like a plant-based protein powder. In addition, some of their flavors do contain natural flavors, but they’re distilled vapors from natural and organic compounds or fruits like vanilla, coconut, and strawberry, and are processed without any chemicals, fillers, binders, or artificial ingredients, which once again is incredibly hard to find. Personally, I buy both the chocolate and the vanilla.

Flavors of the Equip Prime Protein, but honestly, they have like so many other incredible flavors out now. If you’re interested in trying out Equip Prime Protein, you can use the code HANA IllwardHHC at checkout for 15% off. And we’ll pop that code in the show notes of this episode for you as well. So once again, you can go to equipfoods.com, choose the flavor of protein powder that you want, and then use code HANA IllwardHHC for 15% off.

Hannah Aylward (32:18.84)
The next thing here that I want to point out is that poor fat digestion can reduce nutrient absorption. So if we have poor bile flow, we’re not breaking down fats efficiently, we’re not absorbing those good fat soluble nutrients. This is going to impact our nutrient status, and that is going to impact immune regulation, gut barrier function, methylation, and histamine breakdown pathways. So let’s talk about the liver.

Histamine connection a little bit deeper here and the but the bioflow connection and all of these things. It can get a little complex. So I’m gonna try to keep it. Maybe this is already sounding complex. Hopefully not. But I’m gonna try to keep it kind of let’s scratch the surface of it, right? There’s a lot that we could get into here, but there is a big connection here. So when it comes to histamine issues, there’s two main enzymes that help the body efficiently clear histamine.

That first one is DAO or diamine oxidase. And this is a more gut-facing enzyme and it helps to break down histamine in the GI tract in the gut. So if you’re having lots of food reactions reactions to foods higher in histamine, well, that’s kind of signaling that there’s a gut issue. So if you’re having like the bloating, the diarrhea, those kinds of things, we can see that that DAO enzyme may need a little TLC.

The other enzyme that helps the body clear histamine is HNMT or histamine and methyltransferase. Say that five times fast. This is gonna work outside, more so in or inside the cells, and helps to break down histamine through a methylation-dependent pathway. So we have DAO and then we also have HM HNMT. And HNMT uses SAME, it’s a methyl donor to help metabolize histamine.

SAMI is actually connected to methylation, and methylation is heavily tied to liver function, nutrient status, detoxification capacity, and bile physiology. So HMMT depends on methylation capacity. Methylation is closely tied to liver function and nutrient status, and the liver is also responsible for producing that bile. So when we see histamine issues, sluggish bile flow, constipation, poor fat maldigestion.

Hannah Aylward (34:35.478)
signs of impaired detoxification, all of these things together, it makes sense to look into that liver methylation and bile flow picture. So it’s not that poor bile flow necessarily like causes all histamine issues, but it there’s a connection here, right? So if we’re having issues methylating, if we’re if the liver’s having issues functioning properly, properly detoxifying, if we have that low, that subpar bile flow picture,

This can just increase that histamine burden in the body. So a low histamine diet is never a solution. As you can, as you can already tell, there’s so much more going on here. So much more to the to the situation and and in the picture, right? We need to dig deeper and understand why your histamine bucket is overflowing in the first place. Bile can be contributing there, gut dysbiosis can be contributing there.

Many, many things, right? But the gut and the liver are typically playing like a huge role in histamine issues. Like I said, mold exposure, environmental toxin exposure can play a role, excess estrogen can play a role. But remember, bile is incredibly important for actually helping the body detox estrogen. So we still, even if someone has higher estrogen that’s pushing that histamine up, we still want to support bile. So this is like it’s a really, really important piece of the overall puzzle here.

The next thing that I want to talk about is this like stress piece when it comes to digestive health and bile flow. So there’s something called CCK or colocytechinin. Once again, say that five times fast. This episode’s coming with a lot of big words. So colocystekinin is a hormone that tells your gallbladder, hey, we’re gonna, we’re eating some fat right now. We’ve got fat coming in, release bile.

But CCK doesn’t operate in a vacuum. It works within the nervous system. And if you’re eating in a stressed state over and over and over again, your body is prioritizing survival. It’s not prioritizing digestion. So stress can actually alter your vagal tone and change your gut motility and impact stomach emptying and interfere with this release of bile and enzymes that actually help you break down and digest your food. So

Hannah Aylward (36:50.466)
You could be eating healthy fats, but if your body is chronically in fight or flight, if you’re eating in a stressed out state, you may not be releasing bile efficiently. And I’ll I always share with my coaching groups, like I will start to feel shifts in my digestion that will last like a day or two if I’m in a really stressed out state. It’s like it’s one of the signs, right? So it’s for me, it’s always, always, always stress. If I have something big going on at work, if there’s a big push that I’m moving through, whatever it might be.

I will literally start to feel it in my GI tract in my digestion. And this is one of those mechanisms by which stress impacts digestive function. So it will impact bile release, it will impact gut motility, it will downregulate some stomach acid production as well. So it’s not just this like concept of stress, right? It’s that it’s the fact that stress actually impacts your physiology and directly.

negatively impacts your digestive function. So when we’re looking at root causes, when we when we want to have that, you know, root cause conversation overall, for many clients, it’s going to involve discussing nervous system regulation and stress because of stress’s impact on gut health and gut function. So just an important part of the puzzle that I wanted to kind of include in this conversation. So now let’s get into

Why bile flow becomes sluggish? We’ve already touched on some of these things, right? But one of the things is eating a low-fat diet for a long period of time. Like, how did we get here? Right. So say you’re you’re really resonating with a lot of what I’m saying and you’re like, okay, I’ve got the burping, I’ve got the bloating, I’ve got the nausea. I think I need to work on bile issues. I’ve had the recurring SIBO. I have estrogen dominance. I have painful periods, breast tenderness at my speculation. I’m getting those hormonal acne breakouts. I’m resonating with a lot of these pieces. How did I get here?

Things that will lead to an issue with bioflow. There are many. It’s not a super simple answer for everyone. And there can be a different answer for each person as well, which is why it’s always important to work with someone through this process. But one of those things is going to be following a low fat diet for a period a long period of time. So if you followed a low fat diet, if you grew up in that era, in that time where it was like low fat everything, low fat cheese, low fat yogurt, low fat this.

Hannah Aylward (39:13.698)
The body needs fat, right? It needs it needs fats to support healthy hormone health, to support blood sugar regulation. The list goes on and on. But if you’ve and also to support gallbladder health, right? So if you’ve eaten a low fat diet for a long period of time, the gallbladder just may not be getting that stimulation that it needs because bile release is stimulated by those fat containing meals. So ultra low fat diet diets for a long period of time can sometimes worsen fat tolerance over time. And

If you never ask your gallbladder to contract and push out that bile, it may become less efficient at doing its job. So that’s gonna be number one. Number two would be that chronic stress piece, right? So we talked about that connection. Stress is going to shift the body out of rest and digest. And this is can affect your stomach acid, CCK signaling, bile flow and bile release, pancreatic enzyme output, motility, and bowel regularity. The next thing that can lead to bile issues that I touched on briefly.

ear earlier in the episode was that low stomach acid picture. So stomach acid it helps to trigger a a downstream of digestive events, right? So stomach acid acts as the conductor in the orchestra for the rest of the digestive juices to go and do their job. It is like the at the top, at the top level here. So if you’re dealing with low stomach acid, you may not be getting signaling to release bile and pancreatic enzymes enzymes can also become weaker in this state.

So it’s all connected, right? We want to always look at all of these digestive juices to make sure that your body is doing its job and keep peeling those layers back and uncovering like what all is contributing to the GI issues that you are experiencing. But low stomach acid can be a contributor and a reason why that bile becomes sluggish. We’ll see this often in cases of those that have an H. pylori infection. If you don’t know what I’m talking about, go listen to the last episode of this podcast. I go into it all.

but when we have that infection, that’s going to negatively impact stomach acid production. I I won’t go into all of it here. Go listen to that last episode. I go into big detail there. But that alone can then impact bile flow and bile release. Another underlying root cause here would be constantly grazing and poor meal timing. So your GI tract really loves like healthy, healthy rhythm. It doesn’t like eating too close together and it doesn’t like going too long without eating.

Hannah Aylward (41:39.256)
So constant grazing can interfere with your digestive function and these cycles, your migrating motor complex, that process and hunger and fullness signaling as well. The other big thing that can play a role here is thyroid dysfunction. So low thyroid function can actually slow your GI motility and it can contribute to constipation, slow digestion, and gallbladder hypomotility patterns. So this is one of the things, right? When we’re talking when we’re looking at those that have

Hypothyroidism, sluggish thyroid function. Some of those main signs that we’re looking for are constipation, bloating, GI issues, chronic fatigue can be a big one there too. thinning of the outer third of the eyebrows. there’s a lot. There, there are those are kind of like those main signs that people are typically looking for when we’re talking about hypothyroidism. Weight loss resistance can and weight gain can be another big one there because your thyroid is kind of like setting.

Setting the pace for everything in the body. So once that slows down, it’s gonna slow down your GI tract, it’s gonna slow down your weight loss, it’s gonna slow everything down. But this low thyroid function that can slow that GI motility and contribute to constipation, which can then worsen liver issues and and bile issues. And it can cause that sluggish digestion and really just slow everything down, including gallbladder function. The other thing that can be involved here.

Nutrient deficiencies. So there are many nutrients that are involved in bile production, bile conjugation, liver function, and methylation. Some of these are going to include things like taurine, glycine, choline, magnesium, B vitamins. We need many different amino acids. So we need adequate protein. These nutrient deficiencies can lead to poor function of the gallbladder. Then we can see dysbiosis or SIBO, right? So the connection is bidirectional.

We’ll see dysbiosis worsen bile acid composition. We’ll also we’ll also see liver issues, or excuse me, we’ll see dysbiosis increase your risk for non-alcoholic fatty liver disease. So it’s bi-directional here. Dysbiosis and SIBO can worsen that bile composition. And then also bile flow can lead to dysbiosis. So these like

Hannah Aylward (43:56.842)
Any gallbladder removal case, any anyone that’s discussed a gallbladder removal with their doctor, anyone that is having these bile issues that has any sludge, anything like that, we almost always have to look at the gut as well. Like we have to look at gallbladder function. But I would I would always recommend running some functional soul testing and seeing what’s going on in your gut at the same time to see how that could be impacting function and also how that function is impacting your gut.

That’s what’s really gonna get you fee actually like consistently feeling better. The next thing is the gallbladder removal picture, right? So it’s not that if you’ve had your gallbladder removed, like there’s no hope or anything like that. There’s so much that can be done. But gallbladder issues do not happen in a vacuum. They are the result of liver issues, right? So if you’ve had your gallbladder removed, chances are your liver has been struggling for a long time. Bile has becoming

has has become more sludgy. It’s we’ve been creating stones long before you needed that removal. The liver’s been struggling long before you needed that removal, which is often why after people get their gallbladder removed, they feel a little bit better and then like things come back or they get a lot worse. In many cases they get a lot worse. Some people will have a positive experience and that will kind of change the game for them. I think that’s a lower percentage than we would like to see.

Be and that’s because the function, the poor function underneath it all was never actually addressed by just removing the organ itself. So people with out their gallbladder still make bile because that’s being made in the liver, right? But they no longer s have the ability to store it because that gallbladder is no longer there and concentrate it the same way. So it’s kind of like we’re getting this slow drip at all day long. Instead of it being concentrated and then pushed out at mealtimes.

So this can lead to fat intolerance, diarrhea, urgency, more digestive issues, like burping and bloating and that kind of thing, because your body’s just like it’s not concentrating that bile and then pushing it out to help you break down the food that you’re eating when the body needs that support. Instead, you’re kind of more so getting this slow drip. So it’s very common for those with a gallbladder removal picture to need more digestive support after the removal.

Hannah Aylward (46:19.574)
And you will always need bile support going forward. You will need to supplement with bile acids, potent maybe something like oxbile forever going forward because you are don’t have the ability to push it out at mealtimes anymore. I don’t know why they don’t share this with you. I think it’s like a big, I don’t know, a big issue, but one of many that we have with the what’s your medical model, right? It’s like just remove the organ instead of what’s happening and what what decreased function and does everything else look good?

Of course, there’s a time and place. Like sometimes it’s an emergency removal situation. I’m not knocking that whatsoever. Listen, we gotta do what we gotta do because it to prevent things from getting much worse, right? Totally necessary in some cases, but we always want to ask, like, why did this happen? How did this happen? And how can I support my body moving forward? So that gallbladder removal can, of course, lead to bigger bile issues down the line. Okay, so just to kind of recap things that you want to look out look out for here.

Feeling worse after fatty meals, run alternating between constipation and diarrhea could look like either one of those stools that are pale, floating, greasy, sticky, hard to wipe, not feeling fully empty, reacting to histamine foods, recurring SIBO, relapsing after SIBO protocols, feeling like your digestion is slow or heavy, having trouble tolerating fat-soluble supplements, having trouble tolerating something like fish oil.

You may have pain under your right rib. I would say if you do, if you have pain under your right rib, if it radiates to your back, please go see a medical doctor. Like go get your gallbladder checked, go get an ultrasound. Cause typically that’s gonna be kind of a a more advanced stage. We’re usually not looking at just poor function anymore. We’re looking at like sledge stones, something that could get more serious. So please go have that checked out. But yeah, nausea, you know, floating stools, diarrhea, that kind of thing, recurring SIBO, hormonal breakouts.

Estrogen dominance, hormonal imbalances, histamine issues would be some of the things that we’re looking at here in these cases. signs that you need some bile support. Some of the things that we’ll look for in functional labs. So functional stool testing, we’ll look at elevated steatocrit or fat in the stool, we’ll look for dysbiosis, we’ll look for low pancreatic elastase, that enzyme secretion.

Hannah Aylward (48:35.418)
evidence of poor fat maldigestion or fat breakdown. These are some of those things that we’ll be looking for when we’re working with clients inside of our programs and and running functional soul testing to see if they do need some bile support. And then, you know, if needed and if necessary, getting some additional check-ins there. So you can get a gallbladder ultrasound. We want check in on your liver enzymes, bilirubin, ALP, GGT.

These are s gonna be some of those more, you know, commonly run things to check for signs of gallbladder issues. Overall, you know, elevated live liver enzymes are of course a big deal. You wanna discuss that with your doctor. We wanna support your liver health and liver function in that case. But it is still possible to just have like liver enzymes look normal, but function, but we but we’re looking at like a poor function situation. I would say that’s common in in the clients that we work with.

But of course, getting a thorough check-in on all of these things is very important. So if you need to like pause, rewind, reread that list, you’re gonna get a lot of these a lot of these things checked at like your annual if your doctor’s running like basic lab work, right? So like liver enzymes, bilirubin, that kind of thing to look at your your health and function of liver and gallbladder. And then sometimes, right, going for an ultrasound is helpful.

Going for just getting a workup for things like stones and sludge can be helpful as well. So, what can we do to support bile flow? And what are the foundations, right, for really supporting bile flow overall? First off, you want to eat a good, healthy diet, right? No surprise there. So you want to eat enough food. You want to eat adequate protein. if you can tolerate healthy fats at all, we want to make sure we’re focusing more on healthy fats.

You need to start low and slow with these, that’s totally fine. So that’s going to be focusing on things like olive oil, avocado, eggs, salmon, coconut milk, nuts and seeds. You don’t want to completely remove these things from your diet. But you also, if you if you’re having issues tolerating them as is already, please get get help here. Work with a practitioner to help you on this because you don’t want to send yourself into like a bigger flare up or attack. But it is important to eat to eat more healthy fats to support function.

Hannah Aylward (50:54.174)
of your o your honestly in overall health, like for for many different things there. We also want to decrease intake of unhealthy fats. So decrease intake of like fried foods, you know, things like vegetable oils, trans fats and ultra-processed foods, that kind of thing. And making sure that we’re balancing our blood sugar to take that stressor off the body. We’re supporting thyroid function in different ways and we’re eating adequate food, especially protein and fiber, especially

Soluble fiber. We wanna make sure we’re getting in adequate soluble fiber throughout the day to support that bile. The other thing that we can do is use bitter foods before and and/or even during meals. So things like arugula, dandelion greens, redigio, lemon, ginger. You can supplement with my digestive bitters before meals. This is something we recommend very frequently with our clients.

Because bitter foods are going to support these digestive secretions. They help bile flow. So many different herbs can be used here: milk thistle, dandelion, artichoke, ginger are some great go-to’s. Something as simple as a little lemon water before a meal or first thing in the morning can help to support bile flow as well. Then we want to make sure that we’re supporting stomach acid production because stomach acid does impact bile flow, right? So

Eating in a calm state, chewing very thoroughly, eating adequate protein, and then if necessary, doing a more thorough gut protocol to address the underlying root causes of low stomach acid, because there are many of those as well. And once again, I have a whole podcast episode on that topic. So go dive into that if you need. We’ll pop that in the show notes below. The next thing would be making sure you’re not constipated. So addressing constipation, because if bile is

The stool the we’ve got to get stool moving, right? We have to get this moving out because bile is hopefully binding to those toxins and we’re excreting them out of the body through our stool. If you are constipated, those bile acids are going to go back though the it’s gonna go back into circulation. The toxins are gonna go back into circulation, not gonna help anything. So most of our bile actually gets reabsorbed, but some of it should be excreted out. And we wanna make sure that it’s actually moving out. So we gotta work through that constipation picture.

Hannah Aylward (53:11.48)
Things that we can look at here, hydration, minerals and electrolytes, fiber if tolerated, magnesium when needed, something like magnesium citrate, movement every single day, meal timing can be helpful, nervous system regulation. I have a whole podcast episode on the underlying root causes of chronic constipation as well. So if you’re someone that struggles with chronic constipation and you’re like, I’m hydrating, I’m eating my fiber, I don’t know what’s going on, I’m I’m always constipated.

Well, could be a bile issue. You’ll hear me talk about bile in that episode as well. but go have a have a listen to that episode. I have a whole episode on this topic where I’m discussing these underlying root causes, and we’ll pop that in the show notes for you below too. The next thing you’d want to work on is nervous system regulation before you eat. So once again, like taking a couple deep breaths before your meal, sitting down to eat. Don’t eat standing up.

Chewing your food very thoroughly, smelling your food before you eat it, like get present with your food, say a little gratitude, say a little prayer. Try to avoid eating when you’re like answering emails, driving your car, running a million miles a minute. You’re in that sympathetic dominant state, right? So dial it all back, slow it all down and eat when you feel calm and in a relaxed state, because we know that stress impacts your gut health and it directly impacts bile flow as well. So regulate your nervous system before each meal.

Each meal that you eat. One of the easiest things that you can do is take six deep belly breaths before your next meal. Do it before every meal. Put your phone down, close your computer, turn everything off. Don’t don’t be eating while you’re like literally answering an email with your other hand. You know, we’re all, we’re all guilty of that. I’m guilty of that. Doesn’t help anything. Or if you’re just like, you know, just feeling stressed, you’re really stressed out, try to regulate your nervous system. The easiest little hack for that is like six deep belly breaths in through the nose.

out through the mouth, letting the air and the oxygen fill up your lower belly and then a deep exhale out of the mouth. You can even sigh it out. Doing six rounds of that, it really only takes a couple of seconds to help shift your body out of that sympathetic dominant state. Your your body is going to digest the food that you eat efficiently when it feels safe. If you are chronically stressed, it’s just not prioritizing digestion overall, only going to lead to more issues down the line.

Hannah Aylward (55:32.066)
The next thing that we could consider here is just supporting methylation and giving your liver the nutrients that it needs. So liver detoxification is really a nutrient-dependent process. It’s going to require many different amino acids. So making sure you’re eating adequate protein. there could possibly be supplementation with things like phosphatidylcholine, taurine, glycine, B vitamins, magnesium, vitamin C. These are going to be more targeted supports. You can, you can support your body by getting a

Getting in a variety of these nutrients by like eating color colored foods, like fruits and veggies that are richly colored, by eating adequate protein, healthy sources of good quality protein like wildcaught salmon and organic chicken and organic eggs and that kind of thing, right? Eggs are really rich in choline, they’re rich in amino acids, they’re rich in vitamin D. All of these things can be helpful. So just like really maintaining a solid, healthy whole foods diet.

is a great general way to support. And then of course you can consider working with someone like us to get it get more targeted support working with practitioner through this. We will often use various different supplements with our clients, including things like to to support bile specifically and liver function specifically, right? Including things like bitters, oxbile or bile acids, digestive enzymes, taurine, phosphetolcholine, castor oil packs can be really helpful, not really a supplement, more of like a little

addition, I would say. Typically well tolerated, very gentle. That’s something you could consider. Binders can be helpful. magnesium can be helpful. Things like that. So I don’t dosing here wouldn’t be appropriate. Everyone’s gonna need something different. But those are going to be some of the some of the things that we’ll work with a lot. And then also those colagog herbs really stimulate the gall butter to release bile. So they can be very supportive. We’ll work with those a lot too. So that would be like dandelion root, turmeric, artichoke

Peppermint, these are some of those colagog herbs that will help that bile flow and secretion as well. So we will put together, you know, very customized protocols for our clients that are struggling with bile issues, struggling with gut issues, fat mal digestion issues overall, hormonal acne. We’re always gonna be looking at making sure that bile is flowing well. We don’t want too much of it, we don’t want too little of it, making sure that the bowels are moving, we’re not dealing with that constipation.

Hannah Aylward (57:53.78)
And and overall helping your digestive function. So it’s gonna be a combination of targeted nutrition, customized supplement interventions, lifestyle, nervous system work. You know, we reviewed how important that is for bioflow as well. So a combination of of all of it is what’s gonna really get you the best results because it’s never one root cause or one thing leading to poor bioflow. It’s like, how can we support this from multiple angles and how can we address

The many underlying root causes that could be playing a role here. So just to kind of recap for you, bile is very important when it comes to digesting fats, but and absorbing fat-soluble nutrients. But not only that, right? So it helps but healthy bile flow supports fat absorption, it supports healthy bowel movements, it supports good microbial balance in the GI tract, supports dox detoxification and liver function and overall gut health. When bile flow is sluggish or poorly regulated.

Things can show up like bloating, chronic bloating after everything you eat. You may notice more bloating after those fatty, fatty rich foods, right? Constipation, diarrhea, nausea after fat meals rich in fats, floating stools, sticky stools, food reactions, recurring SIBO, and even histamine issues as well. It’s not just a gallbladder issue. Poor bile flow is not just a gallbladder issue. It will reflect the health of your liver, of your nervous system, of your methylation capacity.

your nutrient status, your gut motility, and the gut microbiome as a whole. So if you’ve been chasing like bloating and you’ve got all these digestive issues and you’ve got these histamine reactions and you you you’re dealing with constipation, bioflow may be one of the missing root cause pieces here to investigate in your case. If this episode really resonated with you, if you’re tired of the guessing, right? If it’s kind of hitting, hitting for you and you’re tired of guessing and you’re looking for some more

personalized customized support, to run functional labs, to work with the professionals through this, through this process. We would love to help you. we are enrolling in our one on one program right now. That’s the only program we are enrolling in at the time of this podcast going live, but we are always bringing in new clients to help them as long as we don’t have a long wait list. And we’re at a decent spot right now. So you can always reach out to us if you are interested in working with us and

Hannah Aylward (01:00:14.082)
We will make sure that the link to apply to work with us one-on-one is in the show notes of this episode below. So you can apply to work with us inside of my one-on-one gut restoration program via the link in the show notes below. it’s a very simple application. From there we’ll book a call, chat through your case, make sure we’re a good fit to help you, all of that good stuff. And then we’ll order some functional labs. We’ll build out customized protocols to

Really rev review and address those underlying root causes of the chronic digestive issues that you are experiencing and don’t want to be dealing with anymore. As simple as that. So we’d love to help you if you are interested in more customized support and labs and protocols and all that good stuff with us. And we’re always, always here to help. So I know this episode, I feel like I was kind of like jamming as much in as I could in this episode. So maybe I should have split it up in two, but there’s a lot that goes into it, right? But

Overall, know that bile could absolutely be kind of a missing piece in your digestive function and your gut issues and your bloating and your SIBO, all of that kind of stuff, your histamine issues, your hormonal acne. And there’s so much that we can do to support you there. and there are many things that contribute to the breakdown of that. But this is, I think it’s a really important topic when it comes to digestive function. It plays tons of roles in your digestive function, as we covered in the episode. So

Hopefully this wasn’t overwhelming. I feel like it was like now that I’m getting to the end, I’m like, I should have broken this up into two. I was like rushing through it to get all this good, juicy info into the episode for you. So hopefully it’s good. Hopefully you’ve got some great, great takeaways. We kind of recapped some things that you can focus on to start feeling better today at the end there. And then once again, always reach out if you’re interested in more one-on-one support. We’d love to support you on your gut repairing journey. And until next time, I’ll see you next week in next week’s podcast episode. Thanks for being here.

And for all the support that you show the podcast. All right. Big hugs. Bye.